Organization
FORWARD CARE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA HAYES AMUSAN (EXECUTIVE DIRECTOR)
(336) 475-8873
Entity
Organization
Contact information
Practice address
1209 SHALIMAR DR, HIGH POINT, NC 27262-4598
(336) 475-8873
(336) 475-8874
Mailing address
PO BOX 393, HIGH POINT, NC 27261-0393
(336) 475-8873
(336) 475-8874
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-041-591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603072
—
NC
Enumeration date
07/18/2006
Last updated
08/22/2020
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